Oakland Primary Health Services, Inc

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

OAKLAND PRIMARY HEALTH SERVICES, INC

Practice address

2989 Van Zandt Rd
Waterford, MI 48329-3360

Phone

(248) 674-4876

Fax

(248) 674-6349

NPI assigned

Dec 15, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Lloyd Kernen

Title

Cfo

Phone

(248) 322-6747

Specialties & licenses 1

Addresses

Tax ID family

Oakland Primary Health Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Oakland Primary Health Services

  • Family Medicine Physician
  • Pontiac, MI
  • NPI 1104285139
  NPD tax ID
• Oakland Primary Health Services,Inc

  • Preferred Provider Organization
  • Pontiac, MI
  • NPI 1821261116
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1245569607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 N SAGINAW ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422155",
            "telephone_number": "248-322-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2989 VAN ZANDT RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293360",
            "telephone_number": "248-674-4876",
            "fax_number": "248-674-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND PRIMARY HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "KERNEN",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "248-322-6747",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oakland Integrated Healthcare Network
• Oakland Integrated Healthcare Network
• Oakland Integrated Healthcare Network
• Oakland Physicians Medical Center
• Oakland Physicians Medical Center LLC
• Oakland Schools
• Kene Marie Oden
• Eric Oertel, CPO
• Karla Okaiye
• Melissa Beth Oleshansky, PH.D.

• Student Health Clinic/Center in Waterford, MI
• Providers in Waterford, MI by specialty
• Student Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.